Client is admitted following cerebrovascular accident (CVA). Client is alert and oriented. Heart rate regular. Respirations rapid and non-labored. Wheezing auscultated in upper lobes of the lungs. Client is receiving 2 U/min of oxygen via nasal cannula. Right upper and lower extremities flaccid with decreased muscle tone and strength.

Client sitting up in a chair for lunch. Client states they are right-handed and are having difficulty feeding themselves.

For which of the following interprofessional team members should the nurse anticipate a provider's referral?

Select all that apply.

Case manager

Respiratory therapist

Diabetes nurse educator

Physical therapist

Occupational therapist

Answer and Explanation

Correct Answer : D,E

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Correct Answer is A

Explanation

The nurse should include that interpreting data is included in the step of:

A. Analysis:Interpreting data is a key part of the analysis step in critical thinking. This involves examining and making sense of the information collected, identifying patterns, and determining their relevance to the problem or decision at hand.

The other options do not specifically focus on interpreting data:

B. Intuition: Intuition involves understanding or knowing something without the need for conscious reasoning, which is more about gut feelings rather than analyzing data.

C. Creativity: Creativity involves generating new ideas or solutions, which is not directly related to interpreting existing data.

D. Questioning: Questioning involves asking questions to clarify information or challenge assumptions, but it is not the step where data interpretation occurs.

A. Nausea and vomiting B. Flushed skin C. Extreme thirst D. Fever

Correct Answer is A

Explanation

A.Severe hyponatremia can cause nausea and vomiting due to the disturbance in electrolyte balance and the effects on the central nervous system. It is a common symptom associated with low sodium levels.

B.Flushed skin is not typically associated with hyponatremia. This is more commonly seen in conditions such as fever, inflammation, or allergic reactions.

C.Extreme thirst is more associated with hypernatremia (high sodium levels) rather than hyponatremia. In hyponatremia, the client might have a reduced sensation of thirst or might experience symptoms related to fluid overload.

D. Fever is not a direct symptom of hyponatremia. It can be associated with infections or inflammatory conditions, but it is not a typical manifestation of low sodium levels.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?

Correct Answer is A

Explanation

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGS? pH 7.22 PaCO2 68 mm Hg Base excess-2 PaO2 78 mm Hg Saturation 80% Bicarbonate 26 mEq/L

A nurse is instructing a group of clients regarding calcium rich foods. Which of the following foods should the nurse include in the teaching as the best source of calcium?

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?